Raintree Healthcare of Winston Salem, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-034-084 Issued in NC

Legal business name

RAINTREE HEALTHCARE OF WINSTON SALEM, LLC

Doing business as

Forsyth Village

Practice address

5100 Lansing Dr
Winston Salem, NC 27105-3115

Phone

(336) 661-0850

Fax

(336) 661-0945

NPI assigned

Jan 22, 2009

Last updated

Jan 22, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Reema Owens

Title

Managing MBR

Phone

(704) 763-6300

Specialties & licenses 1

Addresses

Other names 1

• Forsyth Village Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1023256500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668611",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282668611",
            "telephone_number": "888-748-8099",
            "fax_number": "803-631-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 LANSING DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053115",
            "telephone_number": "336-661-0850",
            "fax_number": "336-661-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINTREE HEALTHCARE OF WINSTON SALEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "REEMA",
        "authorized_official_title_or_position": "MANAGING MBR",
        "authorized_official_telephone_number": "704-763-6300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-034-084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forsyth Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anvi Raina, MD
• Taniya Rainer
• David Yotham Rainey, MD
• Hannah Fortwengler Rainey, CRNA
• Yolanda Jean Rainey, P.T., DPT
• Lisa A Rainwater, MA
• Soroush Rais-Bahrami, MD
• Sarpitha Rajamreddy, DNB
• Dhyan Rajan, MD
• Venkat Krishna Rajasurya, M.D., MPH

• Assisted Living Facility in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.